Provider Demographics
NPI:1932414646
Name:KURUNWUNE, PATRICK OKEY SR
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:OKEY
Last Name:KURUNWUNE
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 141821
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78714-1821
Mailing Address - Country:US
Mailing Address - Phone:512-835-9305
Mailing Address - Fax:512-837-7177
Practice Address - Street 1:1000 PAYTON GIN RD
Practice Address - Street 2:SUITE E
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-6766
Practice Address - Country:US
Practice Address - Phone:512-835-9305
Practice Address - Fax:512-837-7177
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health